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<br />City of Eugene Public Works <br />Closeout Form <br />May 1, 2017 <br />GOOD JOB NUMBER004970 <br />PROJECT NUMBER955195 <br />PROJ / GJN DESCWW 2015 Rehab <br />BudgetExpendituresDifferencePM ActualsAJE adjBJE adj <br />FUND / DESC <br />532 - Wastewater Utility - Capital 926,125.00782,520.83143,604.17782,520.830.00(143,604.00) <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals$926,125.00$782,520.83$143,604.17782,520.830.00(143,604.00) <br />Notes: <br />Warranty/As-built FeeBJE#955195$1,500 <br />Tree'sBJE#$0 <br />Project ManagerDate <br />Principal Civil EngineerDate <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />